Organization
SUPERIOR CLINICAL LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GONZALEZ (MANAGER)
(904) 647-7404
Entity
Organization
Contact information
Practice address
7685 103RD ST STE 1A, JACKSONVILLE, FL 32210-9326
(904) 647-7404
Mailing address
7685 103RD ST STE 1A, JACKSONVILLE, FL 32210-9326
(904) 647-7404
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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